Rifabutin

Zamkati

• Musanatenge rifabutin,
• Rifabutin amatha kuyambitsa zovuta zina. Khungu, misozi, malovu, thukuta, mkodzo, ndi ndowe zimatha kukhala zofiirira-lalanje; Izi zimakhala zachilendo ndipo zidzatha mukamaliza kumwa mankhwalawa. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

Rifabutin amathandiza kupewa kapena kuchepetsa kufalikira kwa matenda a Mycobacterium avium complex (MAC; matenda omwe amabwera chifukwa cha bakiteriya omwe angayambitse matenda akulu) kwa odwala omwe ali ndi kachilombo ka HIV. Amagwiritsidwanso ntchito limodzi ndi mankhwala ena kuti athetse H. pylori, mabakiteriya omwe amayambitsa zilonda zam'mimba. Rifabutin ali mgulu la mankhwala otchedwa antimycobacterials. Zimagwira ntchito popha mabakiteriya omwe amayambitsa matenda.

Maantibayotiki monga rifabutin sangagwire chimfine, kapena matenda ena a ma virus. Kugwiritsa ntchito maantibayotiki ngati sakufunika kumawonjezera chiopsezo chanu chotenga matenda pambuyo pake omwe amalephera kulandira mankhwala.

Rifabutin amabwera ngati kapisozi woti atenge pakamwa. Rifabutin nthawi zambiri amatengedwa kamodzi patsiku kapena wopanda chakudya. Ngati muli ndi mseru kapena kusanza mukamwa mankhwala, dokotala angakuuzeni kuti mutenge rifabutin pamlingo wochepa kawiri patsiku ndi chakudya. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani rifabutin ndendende monga momwe akuuzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Ngati mukuvutika kumeza kapisozi, mutha kutulutsa zomwe zili mu kapisozi ndikusakanikirana ndi maapulosi.

Rifabutin imagwiritsidwanso ntchito nthawi zina kuphatikiza ndi mankhwala ena kuchiza matenda a MAC omwe afalikira kale mthupi lonse. Nthawi zina amagwiritsidwanso ntchito limodzi ndi mankhwala ena kuchiza chifuwa chachikulu cha TB (TB; matenda akulu am'mapapo). Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge rifabutin,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi rifabutin, rifampin (Rifadin, Rimactane, ku Rifamate, Rifater), rifapentine (Priftin), rifaximin (Xifaxan), mankhwala ena aliwonse, kapena chilichonse cha makapisozi a rifabutin. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu ngati mukumwa delavirdine (Rescriptor) kapena voriconazole (Vfend). Dokotala wanu angakuuzeni kuti musamwe rifabutin ngati mukumwa mankhwala amodzi kapena angapo.
• Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe simukupatsidwa, mavitamini, ndi zowonjezera zakudya zomwe mukumwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: clarithromycin (Biaxin, ku Prevpac); fluconazole (Diflucan); HIV protease inhibitors monga atazanavir (Reyataz, ku Evotaz), darunavir (Prezista, ku Prezcobix), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (ku Kaletra), nelfinavir (Viracept), ritonavir (Norvir Technit, Kalevir, , Viekira Pak), saquinavir (Invirase), ndi tipranavir (Aptivus); itraconazole (Sporanox, Onmel); ndi posaconazole (Noxafil). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi rifabutin, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• auzeni adotolo ngati mwadwala chiwindi kapena impso.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga rifabutin, itanani dokotala wanu.
• uzani adotolo ngati mukumwa kapena mukugwiritsa ntchito njira yolerera ya mahomoni (mapiritsi oletsa kubala, zigamba, mphete, zopangira, ndi jakisoni) kuti mupewe kutenga pakati. Rifabutin itha kusokoneza zochita za njira zakulera zama mahomoni. Lankhulani ndi dokotala wanu za njira zina zolerera zomwe zingakuthandizeni.
• uzani dokotala wanu ngati muvala magalasi ofewa. Rifabutin itha kuyambitsa zipsera zofiirira-lalanje mpaka magalasi anu olumikizirana.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Rifabutin amatha kuyambitsa zovuta zina. Khungu, misozi, malovu, thukuta, mkodzo, ndi ndowe zimatha kukhala zofiirira-lalanje; Izi zimakhala zachilendo ndipo zidzatha mukamaliza kumwa mankhwalawa. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kutentha pa chifuwa
• kubowola
• mpweya
• kutsegula m'mimba
• kupweteka m'mimba
• kusintha kwa kukoma
• zidzolo
• kupweteka kwa minofu

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

• chimbudzi chamadzi kapena chamagazi, kukokana m'mimba, kapena malungo akamalandira chithandizo kapena kwa miyezi iwiri kapena kupitilira apo mutasiya kumwa mankhwala
• zidzolo, ming'oma, kupuma movutikira kapena kumeza, kutupa kwa nkhope, mmero, lilime, milomo, kapena maso, kuuma, diso la pinki, kapena chimfine ngati zizindikiro
• kufiira kwamaso, kupweteka, kusawona bwino kapena masomphenya ena amasintha
• chifuwa chomwe chimatenga nthawi yayitali, kutsokomola magazi, kupweteka pachifuwa, kuwonda kosadziwika, kutopa kwambiri, malungo, kutuluka thukuta usiku, kuzizira, komanso kusowa kudya.
• kuvulaza kapena kutuluka mwachilendo

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone yankho lanu ku rifabutin.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Mycobutin^®
• Talicia (monga chinthu chophatikiza chophatikiza Amoxicillin, Omeprazole, Rifabutin)